Tuesday, December 31, 2013

Still Alive! Happy New Year!

Wow these last 2 months have been a whirlwind hence I haven't had time to make a post (apologies!). Essentially just wanted to check-in and wish everyone a Happy New Year. 2013 for me has been a whistle-stop tour. I've made many accomplishments and is certainly another memorable year. Some highlights:

Presenting a poster at a national conference

Meeting new people

Going back home for my elective

Commencing another research project (fairly large one too)!

Applying for my first proper job!

Learning more skills (medical and surgical)

Being happy :)

This year had blown by and it has essentially been a year where I had to gain even more confidence especially knowing next year, I will be given responsibilities (no more fooling around!). This second half of the year was just hectic. The minute I came back from elective, it was just non-stop meeting deadlines and never-ending work. Even now I'm supposed to be busy as I've got my first set of final exams in a few days (cruel). I despise revising through the holidays...it's very depressing.

Anyways better get back to revising. I'll hopefully get some free time soon and be able to write an entry about the job application process and what that was like.

Wishing you all a Happy New Year. I know for sure it'll be a big and very important year for me. Bring on 2014!

11 comments:

Hey there, I've just been reading your blog posts and it's great! I was wondering whether you could give me some tips on med school interviews,etc as I am a current applicant. I also have some questions on med schools in general and could use the advice from someone who has been through it all(nearly). Good luck in your final year!

May I send you a digital copy of my novel, Reluctant Intern, to read and possibly review on your blog?

Description:

Addison Wolfe never wanted to be a physician. He wants to be an astronaut. NASA turned down his application, forcing him to seek employment as a doctor. The problem with obtaining a physician's license is the need to complete an internship to acquire one. Wolfe finds himself in an undesirable rotating internship in a very busy public hospital. Inexplicably, the Director of Medical Education seems to have developed an instantaneous dislike of him and the remainder of the internship class. Another mystery is why an attractive female physician expresses a romantic interest in him on the first day of internship.

“The absolute worst time to go to a teaching hospital as a patient is the month of July. Recent medical school graduates, known as doctors, start their real training on July first. They don’t know anything. They don’t get any sleep. They are underpaid and overworked. Their stress is at catastrophic levels. Is it any wonder they make mistakes?” – Anonymous

“In local news today,” the reporter said, “state and federal authorities are in the process of taking into custody the entire intern class at University Hospital in Jacksonville. Officials cited the number of deaths attributed to this class as the reason. It seems that wrong doses of medications, inappropriate surgeries, failure to diagnose lethal conditions, and other mistakes have led to hundreds of deaths….”

“The overdose?” Wolfe asked.“Yes,” Dr. Rubel replied, “that will be her legal cause of death, of course. The real cause of death was the autopsy. Barbiturate overdose, followed by refrigeration outside and then here in pathology, slowed her metabolism down. She was actually alive when they started the autopsy. The flexing of her limbs when the saw touched her brain happened because of nerve conduction, brain to extremities. But it was too late; we cannot put her back together. A hard lesson for those poor boys to learn. You, too, gentlemen. It is also true for those who are clinically dead from exposure or drowning. Remember this: a patient is never dead until he is warm and dead. Don’t forget that!”

The senior resident started his description, “EMS responded to a report of a cardiac arrest at 1:07 a.m. in Junior’s Topless Bar, on East Bay Street….”Figueroa again jumped to his feet. “What is this, a bad joke?” he asked. “Two EMTs walk into a bar…. Let’s be reasonable, guys. The most likely reason for needing a paramedic in a bar at 1 a.m. is a knifing or a gun shot wound, not a heart attack.”The autopsy and x-rays were condemning. The thirty-nine year old, black male had no history of heart disease. No medical history of any kind. He did have a bullet entrance wound to the back of his head with no exit, bullet still in his brain.

The patient was a massively obese woman who complained of a headache. The intern knew only that she was complaining of a headache and had requested aspirin. Extremely busy, and assuming the nurse would let him know if it were not a good idea to give the patient aspirin, he quickly flipped to the order page and signed the order that had been written by the nurse. Figueroa asked the intern if he had talked with the patient. No. Had he examined the patient? No. Had he even skimmed the chart? He had not. He asked if he knew what allergies the patient had. The intern did not know. At the time he approved the order for aspirin, did he realize the patient was on warfarin, another clotting inhibitor? No. Did he know that aspirin also inhibited platelets and clot formation? Yes. Did he know the patient had a history of blood clots? No. Did he suppose that a blood clot in someone's brain, or a ruptured berry aneurysm in the same area might cause headaches? Yes, he knew that. The autopsy pictures revealed stenosed carotid arteries, two small clots in the patient's brain, and massive bleeding from a ruptured berry aneurysm.